Partners For Active Living and Support 

PALS

Registration Information


Name:__________________________________

Address:________________________________

City:____________________________________

Province:________________________________

Postal Code:_____________________________

Phone:_________________________

E-mail:__________________________

Age:__________Local:____________

Gender:Male / Female

T shirt size:SMLXL   

Date Started:_______________________

PALS Partner:______________________

 

Activity Monitors will be given to local members once registration is received.

Mail To: 

New Brunswick Aboriginal Peoples Council

c/o CDEPP

320 St. Mary’s St.

Fredericton, NB   E3A 2S4